- Parexel (Des Moines, IA)
- **_Parexel FSP has an exciting opportunity for a Clinical Quality Operations Manager ! This is a remote role !_** **Position Purpose:** The Clinical Quality ... Manager (CQOM), in collaboration with the Clinical Quality Operations Lead (CQOL) and Head of Clinical ...academic institutions). + Facilitate and oversee the responses to audit and inspection observations as appropriate. In addition, the… more
- Datavant (Des Moines, IA)
- …to realize our bold vision for healthcare. We are seeking a QA Audit Manager to lead Datavant's Quality Assurance Audit function. This role is ... process improvement across our audit operations. The QA Audit Manager provides day-to-day...performance and accelerates the establishment of a scalable, high-impact quality assurance framework. **What You Will Do:**… more
- Molina Healthcare (Des Moines, IA)
- …overseeing delegated activities to ensure compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), ... to comply with state, federal and National Committee for Quality Assurance (NCQA) guidelines, and other applicable...of practice. + Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM),… more
- Molina Healthcare (Des Moines, IA)
- …leading readiness, cutover planning, and post-go live stabilization. + Hands-on governance, quality assurance , risk management, and escalation handling in a ... : Ensure alignment to CMS, HIPAA, state regulations, and audit readiness. Establish governance, RAID (risks/assumptions/issues/dependencies), and quality … more
- Datavant (Des Moines, IA)
- …closely with Management to implement benchmarks, establish acceptable thresholds, and effective quality assurance programs. **You will:** + Maintain a quality ... realize our bold vision for healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The… more
- Cardinal Health (Des Moines, IA)
- … assurance concepts and technical capabilities, the Senior Specialist supports the Manager , Quality Assurance in quality audits and develops ... **_What Quality Assurance / Supplier Quality...consisting of the following: (1) Risk Assessment Program, (2) Audit Program, (3) Maintenance of Quality Agreements,… more
- CenterWell (Des Moines, IA)
- …us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes ... . + Post-Visit/Offshore Coding Collaboration: + Partner with analytics to develop quality assurance program on post-visit reviews. (Frequency and sampling… more
- Elevance Health (Des Moines, IA)
- …field and minimum of 5 years of experience in utilization management, quality assurance and/or regulatory/accreditation standards/audits which includes a minimum ... Responsible for specific QM processes/ functions (ie compliance, grievances/appeals or HEDIS/ quality improvement projects). + Assists manager with day-to-day… more
- Bowman (Des Moines, IA)
- …broad areas of assignments and related fields. Review work produced by staff for quality assurance . **At the Operational and Company Level** + Oversee and report ... invoice date. + Aid, as appropriate, the Senior Account Manager in collections efforts after 90 days. + Prepare...and accounts receivables issues. + Assist with annual financial audit preparation as needed. + Maintain petty cash account… more
